MARY L DUGGAN


Address: 3650 Joseph Siewick Dr, 400, Fairfax, VA 22033-1710
Phone: 7033912020

MARY L DUGGAN (NPI# 1629164389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629164389
Entity Type Individual
Full Name MARY L DUGGAN
Credential NP
Practice Address 3650 Joseph Siewick Dr
400
Fairfax
VA 22033-1710
Mailing Address 12011 Lee Jackson Memorial Hwy
504
Fairfax
VA 22033-3335
Practice Telephone 7033912020
Mailing Telephone 7033912030
Enumeration Date 2006-10-04
Last Update Date 2015-03-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
0024140553 VA Physician Assistants & Advanced Practice Nursing Providers

Other Providers MARY DUGGAN

NPI Name Taxonomy Address Enumeration
1467599969 Mary Patricia Duggan Social Worker 12 Berkeley St, Portland, ME 04103-3117 2007-01-31
1487981528 Mary Therese Duggan Nurse Practitioner 75 Francis St, Boston, MA 02115-6110 2009-11-11
1851461040 Mary Duggan Family Medicine Mmg - Family Health Center, 360 East 193rd Street, Bronx, NY 10458 2006-11-08

Office Location

Street Address 3650 JOSEPH SIEWICK DR
400
City FAIRFAX
State VA
Zip Code 22033-1710

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871596692 Noemi S. Dosova Pediatrics 3650 Joseph Siewick Dr, Ste 101, Fairfax, VA 22033-1700 2005-05-24
1215546395 Ryan Lawson Nurse Practitioner 3650 Joseph Siewick Dr, Fairfax, VA 22033-1710 2020-07-24
1043842503 Shereen A Robinson Nurse Practitioner 3650 Joseph Siewick Dr, Fairfax, VA 22033-1710 2020-02-12
1700373982 Brenda D Carpenter Pharmacist 3650 Joseph Siewick Dr, Fairfax, VA 22033-1710 2018-04-13
1487194262 Molly Boyer Broache Nurse Practitioner 3650 Joseph Siewick Dr, Suite 203, Fairfax, VA 22033-1710 2017-02-28
1649714155 About Care Gyn Associates, Pllc Clinic/Center 3650 Joseph Siewick Dr, Suite 309, Fairfax, VA 22033-1710 2016-12-19
1407209307 Tara Lynne Kiser Nurse Practitioner 3650 Joseph Siewick Dr, 400, Fairfax, VA 22033-1710 2016-07-15
1003266552 Thuy Phuong Thi Vo Family Medicine 3650 Joseph Siewick Dr, 400, Fairfax, VA 22033-1710 2016-06-15
1760897342 Melissa Suzanne Rogina Advanced Practice Midwife 3650 Joseph Siewick Dr, Suite 203, Fairfax, VA 22033 2014-06-23
1104230929 Clare Gosek Family Medicine 3650 Joseph Siewick Dr, Suite 400, Fairfax, VA 22033-1710 2014-06-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366074320 Han S Yoo Pharmacist 12200 West Ox Road, Fairfax, VA 22033 2020-02-07
1386137271 Ammar Orthodontics Pllc Dentist 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 2018-06-14
1013360940 Kellyn Patricia Dodd Nurse Practitioner 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 2016-07-15
1659721363 John Du Od PC Optometrist 12618 Victoria Station Ct, Fairfax, VA 22033 2016-06-14
1568861904 Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 12734 Shoppes Lane, Fairfax, VA 22033 2014-08-21
1649696295 Patrisha Lultschik Nurse Practitioner 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 2014-03-06
1912321910 Alyson Huber Nurse Anesthetist, Certified Registered 3600 Joseph Siewick Dr., Fairfax, VA 22033 2014-02-11
1578999314 Aiatulah Surmaty Optometrist 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 2013-09-25
1356780928 Ayatallah M. Khafagy Obstetrics & Gynecology 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 2013-06-17
1760726665 Michelle Elise Schwartz Speech-Language Pathologist 3507 Curtice Farm Dr, Fairfax, VA 22033 2012-11-15
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790262020 S Renee Dennis Nurse Practitioner 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 2018-07-19
1033608989 Liana Matevosian Nurse Practitioner 13104 Cross Keys Ct, Fairfax, VA 22033-1426 2018-05-07
1144674821 Sonam Norbu Nurse Practitioner 4887 Wheatstone Dr, Fairfax, VA 22032-2341 2016-04-19
1992702617 Mary Choisser Langford Nurse Practitioner 12011 Lee Jackson Hwy, Fairfax, VA 22033-3310 2005-07-07
1275179137 Amelia Ellen Pitha Nurse Practitioner 8316 Arlington Blvd, Fairfax, VA 22031-5207 2019-11-25
1710530654 Elizabeth Renshaw Nurse Practitioner 26136 Us Highway 59, Fairfax, MO 64446-9105 2019-07-19
1871998302 Kimberly Soutuyo Nurse Practitioner 2722 Merrilee Dr, Suite 230, Fairfax, VA 22031-4420 2014-10-27
1952650236 Lisa Ann Sullivan Nurse Practitioner 3998 Fair Ridge Dr, Ste 320, Fairfax, VA 22033-2907 2012-09-03
1063768539 Zahra Mohseni Nurse Practitioner 8503 Arlington Blvd Ste 200, Fairfax, VA 22031-4629 2012-08-02
1265615041 Hillary M Morris Nurse Practitioner 8503 Arlington Blvd, Suite 200, Fairfax, VA 22031-4628 2007-12-14
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Competitor

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City FAIRFAX
Zip Code 22033

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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